T4 (thyroxine) total cost at US hospitals
HC T4 (Thyroxine) Total · CPT 84436
$3.76
lowest cash price
$70.20
national median
$659.00
highest cash price
913
hospitals with a published cash price
Middle half of hospitals (25th–75th percentile) against the full range. The same procedure varies $3.76–$659.00 — the variation is the story.
Median cash price over time
Sep 1, 2025 ($86.70) → Sep 1, 2026 ($87.38)
By state
| State | Hospitals | Lowest cash | Median | Highest |
|---|---|---|---|---|
| Alaska | 5 | $59.22 | $99.84 | $174.72 |
| Arizona | 24 | $4.70 | $9.30 | $123.92 |
| Arkansas | 11 | $20.80 | $52.65 | $105.00 |
| California | 88 | $3.76 | $53.76 | $267.29 |
| Colorado | 12 | $12.71 | $110.01 | $633.48 |
| Florida | 68 | $8.51 | $142.35 | $659.00 |
| Georgia | 25 | $15.40 | $96.72 | $474.83 |
| Hawaii | 2 | $42.75 | $42.75 | $57.60 |
| Illinois | 50 | $31.25 | $85.20 | $268.80 |
| Indiana | 26 | $42.50 | $119.40 | $194.40 |
| Iowa | 29 | $28.98 | $55.00 | $303.00 |
| Kansas | 11 | $40.00 | $160.61 | $510.03 |
| Kentucky | 22 | $43.87 | $87.38 | $189.00 |
| Louisiana | 1 | $17.42 | $17.42 | $17.42 |
| Maine | 7 | $78.15 | $86.70 | $148.45 |
| Maryland | 2 | $24.00 | $24.00 | $24.00 |
| Michigan | 27 | $9.48 | $22.00 | $132.80 |
| Minnesota | 18 | $24.75 | $27.12 | $103.20 |
| Mississippi | 11 | $22.66 | $36.34 | $57.60 |
| Missouri | 21 | $22.50 | $40.95 | $619.83 |
| Montana | 2 | $94.40 | $94.40 | $94.40 |
| Nebraska | 13 | $24.84 | $32.50 | $120.70 |
| Nevada | 4 | $26.99 | $181.43 | $253.11 |
| New Hampshire | 1 | $190.55 | $190.55 | $190.55 |
| New Jersey | 23 | $6.87 | $7.56 | $51.20 |
| New Mexico | 2 | $96.60 | $96.60 | $96.60 |
| New York | 23 | $6.87 | $6.87 | $188.09 |
| North Carolina | 15 | $37.00 | $115.68 | $115.68 |
| North Dakota | 4 | $40.80 | $40.80 | $40.80 |
| Ohio | 67 | $16.90 | $81.00 | $174.60 |
| Oklahoma | 17 | $26.40 | $53.30 | $116.46 |
| Oregon | 12 | $23.04 | $30.53 | $50.25 |
| Pennsylvania | 32 | $14.50 | $41.40 | $240.00 |
| South Carolina | 11 | $38.00 | $157.00 | $477.50 |
| South Dakota | 7 | $28.80 | $70.40 | $92.80 |
| Tennessee | 37 | $6.72 | $22.77 | $626.00 |
| Texas | 102 | $32.73 | $110.40 | $646.23 |
| Virginia | 43 | $11.73 | $98.00 | $414.00 |
| Washington | 33 | $13.60 | $37.80 | $114.10 |
| West Virginia | 18 | $12.00 | $49.50 | $189.00 |
| Wisconsin | 35 | $7.70 | $67.10 | $145.37 |
| Wyoming | 4 | $23.52 | $34.44 | $37.24 |
All hospitals
| Hospital | Location | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Hamot | Erie, PA | $109.20 | $6.79 – $13.29 |
| AdventHealth Parker | Parker, CO | $110.01 | $6.73 – $12.71 |
| AdventHealth Littleton | Littleton, CO | $110.01 | $6.73 – $12.71 |
| AdventHealth Porter | Denver, CO | $110.01 | $6.73 – $12.71 |
| AdventHealth Avista | Louisville, CO | $110.01 | $6.73 – $12.71 |
| AdventHealth Castle Rock | Castle Rock, CO | $110.01 | $6.73 – $12.71 |
| Texas Health Harris Methodist Hospital Alliance | Fort Worth, TX | $110.40 | $5.77 – $28.26 |
| Texas Health Arlington Memorial Hospital | Arlington, TX | $110.40 | $5.77 – $28.26 |
| Texas Health Presbyterian Hospital Allen | Allen, TX | $110.40 | $5.77 – $28.26 |
| Texas Health Center for Diagnostics and Surgery Plano | Plano, TX | $110.40 | $5.77 – $28.26 |
| Texas Health Presbyterian Hospital Denton | Denton, TX | $110.40 | $5.77 – $28.26 |
| Texas Health Presbyterian Hospital Dallas | Dallas, TX | $110.40 | $5.77 – $28.26 |
| Texas Health Hospital Frisco | Frisco, TX | $110.40 | $5.77 – $28.26 |
| Texas Health Heart & Vascular Hospital Arlington | Arlington, TX | $110.40 | $5.77 – $28.26 |
| Texas Health Presbyterian Hospital Kaufman | Kaufman, TX | $110.40 | $5.77 – $28.26 |
| Texas Health Harris Methodist Hospital Hurst-Euless-Bedford | Bedford, TX | $110.40 | $5.77 – $28.26 |
| Texas Health Presbyterian Hospital Plano | Plano, TX | $110.40 | $5.77 – $28.26 |
| Texas Health Hospital Rockwall | Rockwall, TX | $110.40 | $5.77 – $28.26 |
| Texas Health Harris Methodist Hospital Southlake | Southlake, TX | $110.40 | $5.77 – $28.26 |
| Texas Health Harris Methodist Hospital Southwest Fort Worth | Fort Worth, TX | $110.40 | $5.77 – $28.26 |
| Texas Health Harris Methodist Hospital Fort Worth | Fort Worth, TX | $110.40 | $5.77 – $28.26 |
| Texas Health Harris Methodist Hospital Stephenville | Stephenville, TX | $110.40 | $6.87 – $28.26 |
| Texas Health Harris Methodist Hospital Cleburne | Cleburne, TX | $110.40 | $5.77 – $28.26 |
| Marion General Hospital | Marion, OH | $110.50 | $6.87 – $7.14 |
| AdventHealth Polk | Columbus, NC | $111.72 | not published |
| Lincoln Health | Damariscotta, ME | $114.05 | $6.87 – $107.21 |
| Providence Holy Family Hospital | Spokane, WA | $114.10 | $6.87 – $29.33 |
| Atrium Health Anson | Wadesboro, NC | $115.68 | $7.01 – $219.78 |
| Atrium Health Mercy | Charlotte, NC | $115.68 | $7.01 – $212.84 |
| Atrium Health Pineville | Charlotte, NC | $115.68 | $7.01 – $212.84 |
| Atrium Health Stanly | Albermarle, NC | $115.68 | $7.01 – $222.10 |
| Atrium Health Behavioral Health Charlotte | Charlotte, NC | $115.68 | $7.18 – $203.59 |
| Atrium Health Cleveland | Shelby, NC | $115.68 | $7.01 – $219.78 |
| Atrium Health Cabarrus | Concord, NC | $115.68 | $7.01 – $219.78 |
| Atrium Health Lincoln | Lincolnton, NC | $115.68 | $7.01 – $219.78 |
| Atrium Health Union | Monroe, NC | $115.68 | $7.01 – $219.78 |
| Carolinas Rehabilitation Charlotte | Charlotte, NC | $115.68 | $7.01 – $212.84 |
| Atrium Health University City | Charlotte, NC | $115.68 | $7.01 – $212.84 |
| Atrium Health Carolinas Medical Center | Charlotte, NC | $115.68 | $7.01 – $208.22 |
| Providence Seward Hospital | Seward, AK | $116.22 | not published |
| Mercy Orthopedic Hospital Springfield | Ozark, MO | $116.35 | $5.23 – $40.18 |
| SSM Health St. Anthony Hospital - Midwest | Midwest City, OK | $116.46 | $5.00 – $14.70 |
| OSF St Joseph Medical Center | Bloomington, IL | $117.00 | $6.87 – $7.01 |
| OSF St Mary Medical Center | Galesburg, IL | $117.60 | $6.87 – $7.01 |
| CHI Health Plainview | Plainview, NE | $119.28 | $6.87 – $20.58 |
| Ascension St. Vincent Clay (St. Vincent Clay Hospital, Inc.) | Brazil, IN | $119.40 | $2.65 – $15.66 |
| O'Bleness Hospital | Athens, OH | $120.25 | $6.87 – $6.94 |
| CHI Health Schuyler | Schuyler, NE | $120.70 | $4.50 – $20.58 |
| Boca Raton Regional Hospital | BOCA RATON, FL | $121.55 | $6.87 – $18.28 |
| St. Mary Medical Center | Long Beach, CA | $121.69 | $1.77 – $37.15 |